Legislation Details

File #: A 26-254    Name: UpToDate, Inc. Agreement
Type: BoS Agreement Status: Natividad Medical Center - Consent
File created: 6/5/2026 In control: Board of Supervisors
On agenda: 6/23/2026 Final action:
Title: a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a nonstandard agreement with UpToDate, Inc. for UpToDate Anywhere clinical decision support platform subscription services at NMC, for a maximum County obligation of $505,745 for the term of July 1, 2026 through June 30, 2029. b. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three future amendments that do not exceed 10% ($50,575) of the original agreement, do not significantly alter the scope of services, and do not exceed the amount of $556,320. c. Approve the Natividad Medical Center’s Chief Executive Officer’s recommendation to accept non-standard indemnification, insurance, limitations on liability, and limitations on damages provisions within the agreement.
Attachments: 1. Board Report, 2. UpToDate, Inc. Agreement
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Title
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a nonstandard agreement with UpToDate, Inc. for UpToDate Anywhere clinical decision support platform subscription services at NMC, for a maximum County obligation of $505,745 for the term of July 1, 2026 through June 30, 2029.
b. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three future amendments that do not exceed 10% ($50,575) of the original agreement, do not significantly alter the scope of services, and do not exceed the amount of $556,320.
c. Approve the Natividad Medical Center’s Chief Executive Officer’s recommendation to accept non-standard indemnification, insurance, limitations on liability, and limitations on damages provisions within the agreement.

Report
RECOMMENDATION:
It is recommended the Board of Supervisors:
a. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute a nonstandard agreement with UpToDate, Inc. for UpToDate Anywhere clinical decision support platform subscription services at NMC, for a maximum County obligation of $505,745 for the term of July 1, 2026 through June 30, 2029.
b. Authorize the Chief Executive Officer for Natividad Medical Center (NMC) or a designee to execute up to three future amendments that do not exceed 10% ($50,575) of the original agreement, do not significantly alter the scope of services, and do not exceed the amount of $556,320.
c. Approve the Natividad Medical Center’s Chief Executive Officer’s recommendation to accept non-standard indemnification, insurance, limitations on liability, and limitations on damages provisions within the agreement.

SUMMARY:

Wolters Kluwer Health’s UpToDate, Inc. is a leading web-based clinical research tool used by clinicians for evidence-based review of medical topics. As a teaching hospital, Natividad Medical Center (NMC) relies on online clinical resources to suppor...

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